Your Company

123 Your Street

Your City, ST 12345
(123) 456-7890

Expense Report
09/04/00 - 09/05/00

Name Employee ID Department

Employee name #111111 Department name

Manager Purpose
Manager name Expense purpose

Date Category Description Notes Amount

9/4 Flight Flight #123 $0.00

9/5 Hotel Hotel Name $0.00

$0.00

Signature Date